Individual provider Active NPI

Jeffrey Huesser

  • Physical Therapist
  • Ocean Springs, MS
National Provider Identifier
1679982078
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5609 Issued in MS
Practice address
900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903
Phone
(228) 872-6821
Fax
(228) 872-6891
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5609 MS Primary

Addresses

Primary practice location

900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903

Mailing address

900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903
Phone (228) 872-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001193 MS Practitioner - Physical Therapist in Private Practice 0749500429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 Division St
Suite a
Biloxi, MS 39530-2910
Phone (228) 222-4485

900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903
Phone (228) 872-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5609MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Ocean Springs, LLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1679982078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOLCOMB BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643903",
            "telephone_number": "228-872-6821",
            "fax_number": "228-872-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOLCOMB BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643903",
            "telephone_number": "228-872-6821",
            "fax_number": "228-872-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUESSER",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.